Ochiai K, Jin K, Goryo M, Tsuzuki T, Itakura C
Department of Comparative Pathology, Faculty of Veterinary Medicine, Hokkaido University, Sapporo, Japan.
Vet Pathol. 1993 Nov;30(6):522-8. doi: 10.1177/030098589303000605.
Nineteen lead-poisoned white-fronted geese (Anser albifrons), including nine immature birds, were examined pathologically. Subacute lead poisoning due to ingestion of spent lead shots was diagnosed pathologically and confirmed by demonstrating high lead concentration in the liver. The liver lead concentration ranged from 6.9 to 67.7 mg/kg wet weight. The most suggestive gross lesions were mottled bile-stained liver in eight geese and proventricular impaction and/or the presence of lead pellets in the gizzard. Histologic lesions of the liver consisted of Kupffer cell hemosiderosis, large bile plugs in dilated canaliculi, bile pigmentation in hepatocytes, and bile extravasation and associated hepatic necrosis. Seven geese of the remaining 11 birds also had hepatic necrosis in the liver, the greenish discoloration of which was obscure macroscopically. The liver discoloration was considered a jaundice due to both rapid overproduction of bile from increased breakdown of erythrocytes and intrahepatic impaired excretion of bile. The severity of lesions was not correlated to the liver lead concentrations. All examined geese had hemosiderosis of mononuclear phagocytic system cells in the spleen and hypoplasia or edema of the bone marrow with increased numbers of polychromatic erythroblasts. These prominent changes probably resulted from excess breakdown of erythrocytes, hypercholia followed by intrahepatic cholestasis, and disrupted erythropoiesis in bone marrow caused by lead.
对19只铅中毒的白额雁(Anser albifrons)进行了病理检查,其中包括9只未成年鸟。通过病理诊断确定因摄入用过的铅弹导致亚急性铅中毒,并通过检测肝脏中高铅浓度得以证实。肝脏铅浓度范围为6.9至67.7毫克/千克湿重。最具提示性的大体病变是8只鹅的肝脏出现斑驳的胆汁染色,以及腺胃阻塞和/或砂囊中存在铅丸。肝脏的组织学病变包括枯否细胞含铁血黄素沉着、扩张的胆小管内有大的胆栓、肝细胞内胆汁色素沉着、胆汁外渗及相关的肝坏死。其余11只鸟中有7只肝脏也有肝坏死,其绿色变色在大体上不明显。肝脏变色被认为是由于红细胞分解增加导致胆汁快速过度产生以及肝内胆汁排泄受损引起的黄疸。病变的严重程度与肝脏铅浓度无关。所有检查的鹅脾脏单核吞噬系统细胞均有含铁血黄素沉着,骨髓发育不全或水肿,多染性成红细胞数量增加。这些显著变化可能是由于红细胞过度分解、胆汁过多随后肝内胆汁淤积以及铅导致骨髓红细胞生成紊乱所致。